Please see attached Job Description for full details. Freedom to Act: Undertake and oversee all aspects of clinical duties as an autonomous practitioner without daily clinical supervision, access to advice and support is available from senior clinicians. Clinical work is not routinely evaluated. To be professionally and legally responsible and accountable for all aspects of professional activities, including management of patients in your care. Support peers and support staff to do similarly. To flexibly manage responsibilities for own caseload. Responsible for deciding priorities for own work area as agreed with the Senior Team Lead but without direct supervision, balancing these, other patient related activities, professional demands, and other responsibilities. Ensure that these remain in accordance with those of the Service as a whole and readjust plans as situations change/arise. To adhere to BOC, regulatory, and professional standards of practice, codes of conduct and guidelines (Health Care Professions Council (HCPC) / Nursing and Midwifery Council (NMC)/ Academy for Healthcare Sciences (ACHS) and Chartered Society of Physiotherapy (CSP) / Royal College of Occupational Therapists / Royal College of Nursing (RCN)) and encourage others to do likewise. To undertake delegated duties / responsibility as deemed appropriate from senior clinicians and to seek clinical support appropriately. To make judgements about the suitability of patients to receive rehabilitation and what programme of care they will receive. To support the Service Lead in: Developing the service Communicating and promoting the service locally Ensuring the service is highly integrated within the care pathway Propose and implement continuous improvements to the service Communication and Working Relationships: To participate in the development of an effective team and the development of productive working relationships throughout the service. To contribute to the development of clear and concise written information to be made available to patients/carers/other stakeholders. Use effective listening skills to receive information and understand the physical, emotional, and psychological needs of patients and carers, incorporating these into treatment planning. This includes the ability to interpret and respond to patients unsaid needs, to respond to an opening that the patient may provide and to refer patients to the appropriate health care professional to address this need. Responsibility for Patient/Client Care: To work both independently and within a team structure, to manage the patient pathway from referral to discharge of patients and to designate to own and support staff caseload. To provide a pulmonary rehabilitation service in several community locations within the locality. To occasionally undertake triage of referrals within locality. This will involve utilising advanced clinical reasoning, evidence-based knowledge, investigative and analytical skills, and knowledge of a wide range of specialist treatment options in order to interpret referral information and relevant diagnostic reports such as spirometry, ECGs, and CT reports to decide on the patients suitability for the service and identify the most appropriate pathway through the service or if inappropriate, options of signposting to other services. Support from the Senior leadership team and other Specialist Respiratory Physiotherapists / Nurses or Team Leads will be available. Analytical and Judgement skills: To undertake comprehensive subjective and objective assessment of patients with diverse or complex respiratory conditions and multiple pathologies. To prioritise patient problems and to formulate and deliver appropriate treatment programmes based on assessment findings, with evidence of discharge planning and in line with national standards. This process is fully autonomous, and treatments will vary according to assessment findings. To evaluate patient progress, reassess and alter treatment programmes if required, based on knowledge of evidence-based practice and patient outcomes. Frequently readjust plans as situations change / arise due to unforeseen circumstances. Planning and Organisational skills: To contribute to the overall planning, delivery, strategic development, and evaluation of the Pulmonary Rehabilitation Service in conjunction with other clinical staff and within relevant guidelines and evidence-base. To participate in networking locally, regionally, and nationally and within the organisation as required. E.g., Attendance at regional steering or network groups to gather information / intelligence and disseminate within service and organisation. Be an active member of relevant multi-professional working parties as agreed with the Senior Team Lead. To provide supervision of students and clinical support staff daily within service. To include prioritisation and delegation of workload appropriately. Responsibilities for policy and service development implementation: Support BOCs Clinical Governance programme within the service by: Seeking, proposing, and implementing continuous improvements to the service Safeguarding high standards of care by following key components of our robust clinical governance system, including: Clinical effectiveness Clinical Audit Research & Development Education and Training Evidence based healthcare User/Patient involvement Performance Appraisal and Continuous Professional Development Incidents and complaints Responsibilities for Human Resources: Support the development of support staff and students. To contribute to the performance management of support staff and students within the service in conjunction with the Team Lead. To ensure that support staff and students implement policy and service developmental changes. To ensure support staff and students records are appropriately maintained. Contribute to the local induction (and supervision, where appropriate) of all new staff within service. Responsibilities for Research and Development: To be responsible for the effectiveness of delegated pulmonary rehabilitation programmes measured via objective outcome measures. To be responsible for the effective flow of patients through delegated pulmonary rehabilitation programmes to meet service key performance indicator (KPI) targets and assist the Team Lead by monitoring caseloads, prioritising referrals, collecting, and collating team activity data in an agreed format to monitor the clinical effectiveness of the team.